Vasculitis Flashcards
medium sized artery vasculitis not assc with granulomas or glomerulonephristis
Polyarteritis Nodosa
Polyarteritis Nodosa necrotizing or non-necrotixing
necrotizing
VASO-OCCULSIVE Dz = Thrombosis
Predominantly affects the vascular supply to the lower limbs and HANDS!!!
Burgers
Associated with HepC viral infection
- Cryoglobulinemia Vasculitis
2. Cutaneous Polyarteritis Nodosum (limited to skin)
assc with Hep B
Polyarteritis Nodosa
assc with elevated IgA
Henoch-Schonlein Purpura
assc with eosinophillia
ergic Granulomatosis With Polyangiitis [AGPA] (Churg Strauss Syndrome)
Antibodies directed against collagen, elastin, lamin, endothelial cells
ANCAs directed against MPO, lactoferrin and elastin
Bergurs
Immune complex (IC)-mediated small vessel vasculitis of the skin
In capillaries, post cap venules, and arterioles
Hypersensitivity Vasculitis
Classic tetrad of purpura, arthritis, abdominal pain, GN
Henoch-Schonlein Purpura
AM stiffness, shoulder + pelvic girdle pain
Polymyalgua rheumatic (in association with GCA)
adolescent girls and young women of Asian descent < 40 yo
Takayasu’s Arteritis
glomerulonephritis and lung involvement with pulmonary hemorrhage
Microscopic Polyangiitis
Classic Triad of ENT, respiratory tract and kidney involvement
Granulumatosis With Polyangiitis (Wegener’s Granulomatosis)
livedo reticularis
Polyarteritis Nodosa
Necrotizing vasculitis of small vessels, primarily postcapillary venules
NOT associated with granulomas
Henoch-Schonlein Purpura
pANCA
Microscopic Polyangiitis
Associated with glomerulonephritis and granuloma formation with a palaside of histiocytes (~rheumatoid nodules)
Granulumatosis With Polyangiitis (Wegener’s Granulomatosis)
TRIAD OF: asthma + eosinophilia + vasculitis
Allergic Granulomatosis With Polyangiitis [AGPA] (Churg Strauss Syndrome)
ocular lesions
pyoderma gangenousum
arthritis
Oral and genital ulcers
Bechet’s Disease
Vasculitis confined only to the brain, meninges, or spinal cord.
Primary Angiitis of the CNS
Neutrophils + fibrinoid necrosis
Polyarteritis Nodosa
leukcoyotoclasia (destruction of WBCs)→ dispersing nuclear dust
Hypersensitivity Vasculitis
iAssociated with purpura, arthritis, glomerulonephritis, and colicky abdominal pain
Hypersensitivity Vasculitis
non-blanching purpura classically of lower extremities/buttocks
Henoch-Schonlein Purpura
antibodies that ppt from serum in cold , resolubilize upon warming
Cryoglobulins
fever, weight loss, fatigue
Palpable purpura with ulcers
Digital ischemia
Cryoglobulinemia Vasculitis
Giant cells eat up internal elastic lamina
GCA
Granulomatous inflammation of AORTA and its branches
Medial loss of elastic fibers → thinning → Aneurysm or dissection
Takayasu’s Arteritis
strawberry tongue
Kawasaki Disease
hypocomplementemia and ↑↑ANAs
Connective Tissue Disease Associated Vasculitis
Pupuric lesions
Deep cutaneous ulcer over malleoli
Rheumatoid Vasculitis
eosinophilic granulomas of the urinary tract and/or prostate
Allergic Granulomatosis With Polyangiitis [AGPA] (Churg Strauss Syndrome)
Most commin in 20’s and 30’s
with oral or genital ulcers
Bechet’s Disease
Adults: Usually following drug exposures (sulfas, penicillins, diuretics, allopurinol, phenytoin)
Kids: UTR infections
Hypersensitivity Vasculitis
↓C4
Cryoglobulinemia Vasculitis
leukocytoclastic vasculitis with IgM + C3 deposits in/around small and medium sized vessels
Cryoglobulinemia Vasculitis
Pathogenesis: Ag recognition in adventitia → IFN-γ →macrophages form giant cells→ arterial wall destruction + occlusive intimal hyperplasia
GCA
erythema of palms/soles
Kawasaki Disease
Jaw or tongue claudication
GCA
Type of Igs in Cryoglobulinemia Vasculitis
IgG and M
Necrotizing vasculitis affecting small vessels, but no granulomas
Microscopic Polyangiitis
can progress to sudden blindness
GCA
Testicular tenderness
Polyarteritis Nodosa
Infectious causes og vasculitis
Fungal =?
Bacterial =?
viral =?
Fungal = aspergillus Bacterial = pseudomonas viral = CMV